title: Inpatient care of the substance-abusing patient with a concomitant eating disorder.
abstract: Substance abuse rehabilitation programs have been increasingly faced with the difficult task of treating patients with both an eating disorder and a chemical dependency disorder. The authors discuss screening patients with substance abuse for eating disorder and describe a strategy for care that integrates an eating disorder treatment protocol with a standard chemical abuse rehabilitation program. Elements of the treatment protocol include a thorough medical evaluation, nutritional stabilization, strategies to stop the patient's aberrant eating behavior, psychotherapy, medication, and discharge planning that actively addresses both the substance abuse and the eating disorder.
authors.affiliation: Institute of Living, Hartford, CT 06106.
authors.forename: R N
authors.initials: RN
authors.lastname: Marcus
authors.forename: J L
authors.initials: JL
authors.lastname: Katz
mesh_terms: D000328:Adult; D000928:Antidepressive Agents / Q000627:therapeutic use; D002032:Bulimia / Q000628:therapy; D003131:Combined Modality Therapy; D004035:Diet Therapy; D001068:Feeding and Eating Disorders / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006760:Hospitalization; D006801:Humans; D009752:Nutritional Status; D010351:Patient Discharge; D011613:Psychotherapy / Q000379:methods; D019966:Substance-Related Disorders / Q000150:complications / Q000628:therapy*
chemical_list: D000928:Antidepressive Agents